Abstract
Invasive fungal infections remain major causes of infection-related mortality in hematopoietic stem cell transplantation (HSCT) patients. Mixed infections and multiple organ involvement have been reported in these patients. Here, we report a case of mixed Aspergillus and Mucorales infection involving the lungs, brain, spleen and bone in a HSCT patient with relapsed acute myeloid leukemia, who finally improved with triple antifungal therapy and neurosurgical evacuation of brain abscesses. She was put on lifelong secondary prophylaxis with posaconazole with excellent compliance and no sign of toxicity despite over 10 years of drug administration. Serial galactomannan measurements and positron emission tomography/computed tomography were used and were helpful for disease activity monitoring. This is an instructive case of long-term survival after a severe combined mould infection.
Original language | English (US) |
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Pages (from-to) | 465-470 |
Number of pages | 6 |
Journal | Mycopathologia |
Volume | 178 |
Issue number | 5-6 |
DOIs | |
State | Published - Nov 20 2014 |
Keywords
- AML
- Aspergillus
- Hematopoietic stem cell transplant
- Mucorales
- PET/CT
- Posaconazole
- Secondary prophylaxis
- Toxicity
ASJC Scopus subject areas
- Microbiology
- Applied Microbiology and Biotechnology
- Agronomy and Crop Science
- veterinary (miscalleneous)